HomeMy WebLinkAboutMCCABE WEST LT 8
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
^ddress~'Vl~' J~'H',.~ O ~ SEPTIC ABSORPTION WELL
~fl TANK FIELD
, ~ ~ Bilk SubUivision
~ SEPTIC ~ HOLDING
Manulacturer Capacity in gallons
Material No. of Compa~ments
TYPE OF SYSTEM ,
~ TRENCH ~ BED ~ W. DRAIN ~ OTHER ~ ~
~pth to pipe bottom from ~ ~ Total depth from obginal grade
original grade FT /~ FT ~
Fill ~dO~d ~Oove original grade Growl d~pth beneath pipe ~ ~
Gravel length Grave, width ~ :
Total absorption area Distance between lines ~ ~ ' /- '~ ~ L
Installer Date Installed
~ PRIVATE ~ OTHER (Identify}
Classification (A,B,C) Total Depth ] Cased to
FT FT
Installer Date tnstalled:
REMARKS:
Health Oepa~ment Approval: .~ ~ Date:
72-013 (3/85)
A~'CIIORA. GE~ ALASKA
A -7714
SIX INCH WATER WELL DRILLED ......... OUT TO THE DE~TH OF
DRILLED AT THE RATE OF
PROPERTY OWNER ~r. Gene J~n~ ~-~
LOCATION OF WELL SlT~
DRILLER Bernie Claus of Pa~oart Drilling Works.
WELL LOG:
O -
Clay & silty sandy gravel~
la - 38' Hardpan. A cemented gravel.
38 - 79' Gravel with 30% clay binder.
79 - 95' Silty fine gravel. Wet material.
MUNICIPALITY OF ANCHO~
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
· 5 t990
RECEIVED
The water bearing material from 9a' to 96' is the only usable water bearing
fine gravel. No water below that area, and no' quality water bearing ~aterial
above 94 feet. Several ~hours of development time was required to clarify the
fine sand. out of the water formation. Good fine gravel is now formed
the water b6aring area. Water production is 8 to 10 GPM. This GPM should
hold from now on. Only the developing of the huge amount of sand out of the
water bearing area has allowed this Well to be a good quality Water Well.
We can not begin to charge you for all the time involved in development,
but Will charge for fuel .and labor. A minimal charge of ~400.00 seems eq-
uitable for all the developing time.
Water recovery is back up to within 45 feet of surface. 1/2 or 3/4 sub.
pump should be installed 4 feet off bottom.
Drill'tng cost: $1995.O0 (~21.00 per ft.) Developing: ~400.00
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
Total cost: .~2395.00 ~00~
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FO~I~THE SUM OF ~ ,
THANK YOU VERY MUCH. <~~~ ~\ /
BERNIE CLAUS OF RAMPART DRILLING WOrkS
DATE May 25th, t989 ' --~7~'~/~
SERVICE CHARGEOF 1~% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNT$.
'.1: NS TJ~L.I.... F'IEF~ [i.::NE') :f: NE:EF~'.,S DES .1: [:aN ,, 'NOT ].' I:::'Y
:l: IqSI:::'E:CFT' :1: E)N [':J¥ THE: E:lq(3 :[ NE:lEI::;: ,, "['1'"1 ]: !.:J F:'IEI::RI"t :t: T Z S ;I.' SSLiliED I:::'OR THE
I:::'I....I~.~NNIE[) zl- ](!EDF~:E)OI"I !ii~.I:BIJ:'})L.E: F'(.~tH:[L.Y Dt,'.JELL,:[Bt['} C)NL.Y
C)N :1.2 i::!!; :L i,':.!~<? ,,
]: CE.:.'I:~T :1: F'Y 't"HI.',IT ::
:1.., ',t'. i~un Ca':~m:L],:i.a'u" ~g:i.'t:.h 'Lhe r'e(::luJ, r~.:.~n~(~n'L:~:; for
for't.h by 'Lhe hlLu"~:i,c:~.l::h::~],J.'f,.Y c:)f (:trJ(zhcm~.ge (IdE:~)
2,, :[ ~,~:i.].:[ :i.n~i'La:t.:L 't:.he ~[i~y~t. em :i.r'~ ¢~c:c:or'dan(::e ~,~:i.'t:.h
· :S,, :1: v,~:i:l.], a~dl"~ere) 'Lo a~:l.], t~!O(.~ ~r'~(::t S'L¢':d'..e o¢ (.~],~BI<~ r, eqt.~:i, rement.~i~ for'
I
HENRY ~/ILSON
96OI BUDDY ~/ERNER DR.:
ANCHORAGE, AK 99516
(907) 346-2000
Construc~neers,
Ent~~s
CHARLES A. LANDERS
SR BOX Ig2-A, MYRTLE DR.
EAGLE RIVER, AK gg577
(~o7) ~g,~.~o9~
tls
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15-
16-
17-
18-
19-
20-
COMMENTS
SLOPE
I-
N
i r o'
ENCOUNTERED?
S
DEPTH? p
E
Oepth to Water Alte~,,~ q
Monitoring? .~ x~7 Bate: ~
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE __
(minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
LEGEND:
~Brm Cap Monument
0 Iron Pipe
· 6/8" x 30" Rebar
(~ Survey Hub & Tack
8
I hereby certify that I have surveyed Lot
Subdivision, Anchorage Recording Precinct, Alaska,
and have replaced all lost corners with 5/8" x 30" rebar. It is the
responsibility of the owner, prior to construction, to verify proposed
building location on lot, grade, and utility connections, also to
determine the existence of any covenants or restrictions which do not
appear onthe recorded plat. Dated at Anchorage, Alaska this
dayof ..~ I~ ~U ~ ' 19 ~ ~"~'-.
CONSTRUCTING ENGINEERS, INC.
9601 Buddy Werner Dr.
Anchorage, Alaska
346-2000 694-9098
PLOT PLAN
SCALE 1" =~'
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 ' Anchorage, Alaska :.99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHOR
Parcel I.D. #
1. GENERAL INFORMATION
Corn
Location (site address or directions) ~, 3 '7_--?_., I
Prop~rty o~'~'~ar
Mailing address
~Tay phone
.... ,,j J/~.
Lending agency_
Mailing address
Day phone '/"J~
Address ,'~o I "C~" %,~~j
g ~--'P--(=E'J~Day phOne
Unless otherwise requested, HAA will be held for pickup.
/
2. NUMBER OF BEDROOMS: Z~--/
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
ing to the legality and s~atus of system.
4.!~. TYPE' OF WASTEWATER DISPOSAL:
Individual on-site ~'~___
If community well system, provide written confirmation from State ADEC attest-
.Holdi~g '~ank
Community on-site
[tng
; written~cOnl
system.
RECEIVED
.""NOTE:
72-025 (Rev, 1/91) Front MOA~21
g
=
STATEMENT OF. INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date showr~ below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the d~e of this
Address /'~//~ I"~',,~ag5/I~'\ '
inspection.
Phone
Date -~ ~/~'~--
DHHS SIGNATURE
~ Approved for /~ (/~) bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
By:
The Municipality of Anchorage. Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates-based only upon the representations given in paragraph 5 above by an independent
professional engineer registered In the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisf~ certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data befog a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions j~i the Pr~)fessi°nal enginee~s*W0rl~, i
72-02~'~Rev. 1/91) Back MOAt~ZI
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907)
Health Authority Approval Checklist
Legal Description:
A. WELL DATA
Well type t2'~x~-'
Log present (Y/N)
Parcel I.D.:
IfA,:B, orC, attach ADEC letter. ADEC water system number Date completed ~'"/~ ~
Total depth c:~ ~' Cased to
Sanitary seal (Y/N) ~. ~
Casing height (above ground)
Wires properly protected (Y/N)
Date of test
Static water level ~'-~'/
Well production ~
FROM WELL LOG
AT INS PEbTiC~N
WATER SAMPLE RESULTS:
Coliform (~
Date of sample: 6'/~/c?~
B. SEPTIC/HOLDING TANK DATA
Date installed '4-/~cl Tank size
Nitrate
/
~.~,~ ~ Other bacteria
Collected by: ~
Number of Compartments __
Foundation cleanout (Y/N) ",/C=~ Depression (Y/N) /,/o High water alarm (Y/N)
Date of Pum i ~ Pumper o {.--D
C. ABSORPTION FIELD DATA
Date installed 'd'*/Oc~ Soil rating .~H~f'J~ or fF/bdrm) /~---'~ 'Systemtype~
g.
Length ~'D Width ' ~ Gravel thickness below pipe ~ /~'
Total dePt
Effective absorption area ~:Z)C) Monitoring Tube present (Y/N) ¥' DepreSsion over field (Y/N) hi O
Results (Pass/Fail) ~>,e~c~C For ,Z~ bedrooms
. ,,
(in..):
Fluid depth in absorption field before test (in~; ~J% ~F~ Immediately after - ' gal. water added
Fluid depth ~'~ ~4 ~ (ins) Minutes later: I ~C~ Absorption rate.= '~ ~:~C) g.p.d.
~' , ~ -? L,' ~ ,. '~ j'IA .,, . , :,~;,.;-~i~.'~, ~',
Perox de treatment (past 12 months) (Y/N) l, Jo,u~. If yes, give date .~ I~
72-026(Rev. 3/96)* ~ p~-ja.- ica{~cj i,~p~-~'T~o"J
Date installed
Size in gallons
Manhole/Access (Y/N)
"Pump off" level at*
High water alarm level at*
*Datum
Cycles tested
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot I 2,0 +
Absorption field on lot
Public sewer main
/
Sewer/septic service line .
MAY 1 5,1997
Municipality of Anchorage
Dept, Health &.Hum. Tan Ser~l~_e~
On adjacent lots ~ Icc)
/
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
/
Foundation ~J ! +- Property line ~ :> I o Absorption field
/ /
Water main/service line ~> ~ o Surface water/drainage '> ~0o Wells on adjacent lots
ICC,
SEPARATION DISTANCE FROM ABSORPTION FIELD..ON LOT TO:
Property line
Surface water
Curtain drain
ENGINEER'S CERTIFICATION//
I certify that I hav~e.,de~nined_th~ fl~.ld inspections
in conform~2~ w~/~uid~l~es i~ effect on this date.
Signature _ ///~/L _.~/P/~/Y',~'/fL..~ \~,r --
Engineer,s NaJe~ ~/~,,~~
Date ' ~/1~/~
~ c~ Building foundation ~ -- r~/:t: Water main/service line
~ 1 o O Driveway, parking/vehicle storage area
~ ~O~ Wells on adjacent lots ~
HAA Fee $
' 7
Date of Payment
Receipt Number ~2..-/~..~"'
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Alaska Water & Wastewater
8471 Brookridge Drive ~ Anchorage ~ Alaska 99504
Phone (907) 337-6179 - Fax (907) 338-3246
Consulting Engineers
May 13, 1997
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Subject: HAA for Private Well & Septic System. Lot 8, McCabe West S/D.
To whom it may concern:
The subject lot has a 4 bedroom house on it which is served by a private well and septic system.
The results of the field investigation and adequacy tests are summarized as follows:
A. WELL: On the day of my inspection (5/8/97) the static level was 65 feet below the top of
the casing. Water was pumped from the well at a rate of 5.68 gpm for 87 minutes (494 gallons).
During the first 10 minutes the water level dropped to 73 feet and stabilized at that level for the
remainder of the test. In short, the well was recovering as fast as the water was being pumped
out (5.68 gallons/minute). At the end of the pumping period the well recovered completely in less
than 10 minutes. Based upon this data it was determined that the capacity of the well exceeds
5.68 gallons per minute, and exceeds the Municipal requirements for a 4 bedroom house (600
gallons per day). The well produces greater than 3 gallons per minute (720 gallons in four hours),
as required for FHA financing.
B. SEPTIC SYSTEM ADEQUACY: Per the 1989 inspection report, the drainfield is a 2.5
foot wide trench, that is 50 feet long, and has an effective depth of 6 feet. I shot the elevation of
the pipe invert at the beginning of the trench (assumed elevation = 100.00), and the bottom of the
monitoring tube (94.80), and determined the elevation difference to only be 5.2 feet. Based upon
this data it appears that the monitoring tube does not extend to the bottom of the dralnrock. See
the attached drawing which shows the elevation at various locations within the system.
Prior to starting the adequacy test there was 43.75 inches of liquid in the sump. Water was added
to the clean-out at a rate of 5.6 gpm for a total of 92 minutes (515 gallons). The liquid level rose
a total of 16.75 inches, to a depth of 60.5 inches (1" below the top of the drainpipe). This
equates to 30.75 gallons per inch. The recovery was monitored for 180 minutes and the water
level dropped a total of 3.75 inches, indicating an absorption of 115 gallons. This corresponds to
an absorption rate of .64 gallons/minute, or 920 gallons/day. Based upon this data, the dralnfiled
was deemed to be adequate for a 4 bedroom house (600 gpd).
It should be noted that the system has to be filled to 100% of its capacity, and constant head
maintained, in order to achieve the required absorption rate. In short, the drainfield is
approaching the end of its useful life. The homeowners stated to me that they have never had any
problems with the septic system. If you have any questions, please contact me at 337-6179~ or on
my digital pager at 1-800-481-1162. Thank you for your assistance.
Sincerely,
Je
C.C Jack White Real Estate, Loft Hackenberger
PHH Relocation, Inc., Lorena Orsonio
NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not
limited to, seasonal 3~trface water infiltration, groundwater variations, septic system
maintenance (frequency of septic tank pumping, usage of biological additives), condition of
drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age),
type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects),
and the amount of water being introduced on a continual basis. Consequently, the results of this
adequacy test are only valid for the specific day of the test. Furthermore, because of the limited
nature of this investigation, it is possible that there are hidden defects which may not have been
detected No warrantee is made regarding the future performance of this well or septic system
Transmittal
Alaska Water &
Consulting Engineers
0 ,5
: 2
Attention: b/~. O. ~ ']2) W:'~V G
From: Jeffrey A. Garness, P.E., M.S.
0
~o
~,
I¢D
8471 Brookridge Drive * Anchorage Alaska 00504 * Phone: (9071 337-6179 * Fax: (907)338-3246
OS-!~-lgg? 04:S8RH FF~OM L.O~!/HARY
TOTAL P.01
: tM ~ ~ the
..... :, ....... '5
CT~ ESI A~CHORAG~
'~ GT&E Environmental S~rvlces
Inc.
CT&E Ref,#
Client Name
Project Name/#
Client Sample ID
Ordered By
9722~r2001
AK Water & Wa~tewater
13221 McCare Circle West
13~21 Me~r¢ Circt~ We~t
Dri~dng W~lcr
Client PO#
Printed Date/Timz ,05/i2/97 13:05
Colle~teflDa~e/Time 0~/56/97 16:30
R~ived Date/Time 05/07/97 i 5:05
Te~ni~l Dir~or: Stephen C. Efle
$~-np I e Rexaarks:
CT8~ Microbiology DrinM:lg
2.69
05/08/9? JSL
05/08/97 RAM
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
_s
Location (address or directions)
13221 McCabe Circle West (turn So. off Huffman on Bragaw~
(b) Property owner Gene R.. Janige Telephone: (home)
Mailing Address PO Rox 11122.,2. Anchnra?,: AK qqRll
(c) Lending Institution owner financed Telephone
Mailing Address PO Box 111223, Anchorage, AK 99511
~z~E gl40 Business
345 5]40
(d) RealEstate Company and Agent Jack White £n. Kay Fng]and/Rnnni¢ HChn~r
Address 3201 C St. suite 100 ^nchorage, Ak 99503-3994
Telephone 762 2]]0
(e) Mail the HAA to the following address: (or check here [], if hold for pick up.)
List contact person and day phone number below:
Gene or Sharon Janiqo 345 5140
PO Box 111223, Anchorage, AK 99511-1223
2. TYPE OF RESIDENCE bedrooms~, ..~ ~ ~ ~.
Single-Family/~ Number of
3. WATER SUPPLY
individual Weil/~. Community Fi Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site~ Public [] Community F1 Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page 1 of 2
a to ~ e6ed
'~JOM s,Jeeu!§ue leUO!SseloJd eql u!
SUOISSILUO JO sJOJJ9 JOt elq!suodseJ lou s! e§~Joqouv to lllled!o!unl~l eqj.'penss! s! ell~o!tBJeo e eJoleq elep ezlleUe Jo
suoilo~dsu! lonpuoo lou op SHHa ~o see~oldLU~t 'slueLueJ!nbeJ el~lS pu~ leJepel u!~lJeo lls!l~s ol JepJo u! suo!lnl!lsu!
§u!puel J!eql pu~ smuoq ~o sJes~qoJnd ol lselJnoo ~ se S!ql seop SHHQ eq.L 'e)tSelV ~o el~lS eql u! peJels!§eJ
Jeeu!§ue i~uo!sseloJd luepuedepu! u~ lq eAoq~ S qdei§eied u! ue^!5 suo!i~lueseJdeJ eql uodn ,~lUO peseq pel~o!tpeo
le^oJddV,~lpoqlnv qll~eH senss! (SH Ha) seo!AJeS ueLunH pue qll~e.H lo lUeLUlJedea el~Joqouv ~o ~l!l~d!o! un~ eq.L
II~AoJddv leUO!l!puoo lo SLuJe.L
leU~!~/~uoo pe^oJdd~s!Q "~ pe^oJddv
'l'~AO~c[g~' SHHa '9
A. WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA) ~
Health Authority Approval (HAA)
CHECKLIST - FEBRUARY 1984
NIUNIClPALITY OF A"~44
DEPT. OF HEALTH & -- a ~' ~:~ /~c~ ~/"~,~,
ENVIRONMENTAL PROTECTIO~Ieg Description:
NOV 1 5 1990
Well Classification
Well Log Present (Y/N)
Total Depth ~',S' / Cased to
Static Water Level 4~,,5.- t
Casing Height Above Ground
RECEIVED
Date Completed -,~'- ~'
~'~" t Depth of Grouting
/,5-t
Electrical Wiring in Conduit (Y/N) f
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line o~ Lot
Water Sample Collected by
Water Sample Test Results
If A, B, C, D.E.C. Approved (Y/N) __
Yield
Pump Set At ~/'
Sanitary Seal on Casing (Y/N) )/
Depression Around Wellhead (Y/N)
; On Adjoining Lots
//43 · ; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
Date /D, ~,
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed /--//',~'~' Size /~.~"O
Standpipes (Y/N) f Air-tight Caps (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N) Az/'
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-SupPly Well ~//0
To Property Line -/-/.S- /
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
Comments
No. of Compartments Z-
~ Foundation Cleanout (Y/N) ~
Date Last Pumped /® ~
; for
Temporary Holding Tank Permit (Y/N)' ~
To Building Foundation
To Disposal Field
,~ /43 ~
72-026 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~'/- J>~
Width of Field -~t S '
/5-0
Square Feet of Absortion Area ~"~
Depression over Field (Y/N)
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well -//'~ ·
To Building Foundation _/./,..,4'- '
Lot '"L//
TO Water Main/Service Line '/'
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area -~ ..~-4:2 '
Comments ~ //~/~' /~'~//W~
Type of System Design
Length of Field ,-~'"~ ~
Depth of Field /O '
Gravel Bed Thickness /-~ '
Statndpipes' Present (Y/N)
Date of Last Adequacy Test
To Property Line -/- ~0
To Existing or Abandoned System on
; On Adjoining Lots ,~ ,~43 '
To Cutback (if present)
D. LIFT STATION -- /L207"
~d
Size in
Gallon~s--~ ~
"Pump On" Level at -'~"~
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
~ Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect
inspection.~
Company
Date //- ~"-
Receip
Date of Payment
Amount: $ /
72-026 (Rev. 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
NORTHERN TESTING LABORATORIES, INC.
2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 907-277-8378 · FAX 274-9645
3330 INDUSTRIAL WAY FAIRBANKS, ALASKA 99701 907-456-3116 · FAX 456-3125
Constructing Engineers
9601 Buddy Werner Drive
Anchorage AK 99516
Attn: -
Our Lab #:
Location/Project:
Your Sample ID:
Sample Matrix:
Comments:
A106705
L8 McCabe West
Kitchen Sink
Water
Report Date: 11/01/90
Date Arrived: 10/29/90
Date Sampled: 10/28/90
Time Sampled: 1200
Collected By: HW
Flag Definitions
U = Below Detection Limit
DL Stated in Result
B = Below Regulatory Min.
H = Above Regulatory Max.
E = Below Detection Limit
Estimated Value
Date
Method Parameter Units Result Flag Analyzed
EPA 300.0 Nitrate-N mg/1 1.9 10/30/90
Reported By: Franco'is Rodigari
Anchorage Operations Manager
BOP ~599~ '.: ' ' ' ~---'STK~+6'O.-~RAD~AREA~
---- ' 06~~ ' NSTALL BLEED VALVE
. ' ~.
MATCH LINE
N 0°(J~'22'' E - 660.04,
N O°03'~"E i BRAGAW STREET
80.00
S 0°0'1'00" W
659.76
~ ATMERTON RD.